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� I <br /> Total �ee: , $ ��a?. �/3 � Date Received: ��,,���,y� � ; <br /> Entered By: �'! � Permit#: �i� 7/o � <br /> CITY OF ORONO - BI.TILDING PERMIT APPLICATION � <br /> All information must be submitted in full before plan reYiew will be started. <br /> (please print a11 information) . % <br /> THE A.PPLIC��"i' IS: (circle one) OtiYNE R CON �TOR ` � � . � 1 <br /> � <br /> _.________— . J <br /> JOB SIT� ADDRESS: �vl�� � 10��f1C.. l�� � � n u e ZIP: ��5 3� � <br /> l M � (� 1 �x�N+�2r�� � <br /> � NAME OF Oti�NER: �;,�c,�;E N PHONE: (home) y�-i-q y �a <br /> (work) 4�- /- �5�5� <br /> NIAZLTNG ADDRESS: ��me �S A.� ��G CITY: 1,�A y�A�� ZTP: 5 � <br /> � <br /> CONT'RACTOR: PHONE: � ; <br /> CONT'ACT PERSON: MOBILE/PAGER: � ' <br /> MAlI�Ytii TG ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECTlE�'GINEER: P�IONE: <br /> I��IATI:Pi IG ADDRESS: CITY: ZIP: <br /> I�1AME: REGISTRATION# <br /> TYPE OF ti�ORb: New Addition Accessory Structure <br /> Move � � Remodel/Alteration�_ Land Alteration <br /> PROPOSED ti�ORT�(describe in detai�: ���� n��,-� t1,,,n �',������- �xis�iu� ���, , , <br /> � <br /> A� `�T rl i `.� i U �`�C���t u.� V' !N ,ES�/C IJ 7 L:Ci5 5�i�� �v r t.� �- io� x /(n � <br /> STORIES: j SQ.FEET OF EACH FLOOR: �}'��� - <br /> NO. OF BEDROOMS: �Z GARAGE STALLS: ATT. 1 DET. <br /> E.STI'iYIATED CONSTRUCTION VALUATION (excluding land): $ <br /> � //GO `1 p-f�a�i' �tr <br /> . C,�Uar Q-�nC:p ��,�-��L:c�,� /i��f`'4�� <br /> I hereby apply for a buildinJ permit and I aclrnowledge that the information above is complete and � <br /> accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with <br /> the State Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be i.n accordance with the approved plan. <br /> � ��`�Q rr��. �'�� ��r�S�''�'1 �> �; . <br /> APPLICA�'T'S SIGNATLTRE: DATE: ��a� , l r �t� <br /> NOTE! �'arade Q Homes events require separate permit approval by Police Department and <br /> � City Council 60 days prior to the event. Non permitted events wi11 not be allowed. <br />